2002 ACC/AHA Guideline Versus Clinician Judgment as Diagnostic Tests for Chest Pain

Consultas por dolor torácico en el servicio de urgencia hospitalario de una comunidad rural. Llay-Llay 2005-2007

“…Un número no despreciable de pacientes presentaba antecedentes de angina e IAM. Si bien promedio de edad de ocurrencia fue de 60 años, se registró un amplio rango de edad (27 a 91 años), lo que indica la importancia de sospechar este diagnóstico a cualquier edad 17,18 . Posiblemente sean necesarios estudios que separen a los adultos de las edades pediátricas para obtener una caracterización más fi dedigna de poblaciones cuyas patologías se comportan de manera disímil.…”

Timely Troponins Avoid Admissions: Clinical Assessment of Undifferentiated Chest Pain

“…Baseline ECG Of those initially considered to have probable cardiac chest pain (n=67), 41 had no ischaemic changes on ECG, and one apparently had no ECG performed. The ECG changes in those with abnormalities were T-wave inversion (13), left bundle branch block (4), ST segment elevation (3), right bundle branch block (3), and ST segment depression (2). Investigation Completion Rate Of the 100 patients admitted with undifferentiated chest pain, 12 hour troponins were sampled in 94% (16% on admission as these presented >12hrs following chest pain).…”

Three Simple Rules in Pectoral Muscle’s Trigger Point Treatment, Which May Be a Cause of Chest Pain: Position, Palpation, and Perpendicular Needling

“…To the Editor: Chest pain is a cause for a large proportion of admissions to the hospital. 1 Almost half of the applications to primary health care institutions with chest pain originate from the musculoskeletal system. 2 Myofascial pain syndrome is an overlooked diagnosis in the etiology of chest pain.…”